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\- J <br />11 <br />11 <br />MIAMI -DADE COUNTY — INTERNAL SERVICES DEPARTMENT (ISD) <br />M ®In ISD FORM NO. 11 <br />EXPERIENCE & QUALIFICATION / PREFERENCE / REFERENCE FORM <br />INSTRUCTIONS <br />This form must be submitted by each team member (Prime, A/E Sub- consuRant, and /or non -A/E sub - consultant), <br />as applicable. Applicable firm must list previous similar type project in which it has performed work. <br />The reference provided below should be for one project and must comply with the requirements listed in <br />Sections 1.2, Scope of Services, Experience and Qualifications /Preferences, and 2.1, Format and Contents, of the NTPC. <br />APPLICABILITY TO EXPERIENCE & QUALIFICATION (S) PREFERENCE (S) <br />This project reference complies with the Experience and Qualification(s) and /or Preference(s) required under Section 1.2, <br />Scope of Services, of the NTPC. ® Yes OR ❑ Not Applicable <br />If yes, please indicate which of the Experience and Qualification(s) and /or Preference(s) that is met with this project <br />reference. <br />Renovation, Programming, Architecture, Planning <br />REFERENCE PROJECT INFORMATION <br />Firm Name: R.E. Chisholm Architects, Inc. <br />Reference Project Name /Address: Shenanadoah Park Miscellaneous 2111 SW 19t° St. Miami, FL 33145 <br />Name(s) and Role(s) of Consultant Personnel Working on this Reference Project: Robert E. Chisholm FAIR, NCARB, <br />Chairman, Matthew Polak, AIA, LEED AP, President; <br />Reference Project Description: Shenanadoah Park Various Services <br />Scope of Services Provided: Architectural <br />Total Compensation for Services: $ $152,500.00 Project Start Date: 01/2003 Project Completion Date: 11/2012 <br />Construction Start Date: Construction Completion Date: <br />Project Construction Cost: $ $2,175,000.00 06/2003 11/2012 <br />Reference Company Name: City of Miami Reference Contact Name: Mr. Andre Bryan, PM. <br />Reference Telephone Number: Facsimile Number: E -mail: ABryan @miamigov.com <br />305.416.1211 <br />SPACE BELOW IS TO BE UTILIZED TO EXPAND ON THE SCOPE OF SERVICES PROVIDED FOR THIS PROJECT REFERENCE. <br />PLEASE DESCRIBE YOUR FIRM'S INVOLVEMENT IN THE REFERENCE PROJECT. PROVIDE DETAILS TO SUPPORT WHETHER <br />EACH TEAM MEMBER'S PARTICULAR EXPERTISE RELEVANT TO THE PROJECT 'WAS GAINED UNDER CURRENT <br />EMPLOYMENT, OR AS A MEMBER OF ANOTHER FIRM. (ADDITIONAL SHEETS OF PAPER MAY BE USED TO INCLUDE <br />INFORMATION). <br />Miscelleneous project services which included architectural services for ADA/Lifc Safety improvements to the public pool, design of a <br />new childcare facility, renovation of the multi - purpose building, and improvements to soccer fields, raquetball courts, tennis courts, and <br />parking areas. <br />